Pipeline-Case Management Analyst

Must have reliable internet connection and quiet space with no distractions to work remotely
The primary purpose of the Care Coordinator for the Behavioral Authorization Team (BAT) is to coordinate Fast Cert authorizations for a variety of behavioral healthcare clients. BAT Care Coordinators communicate with Individual and Facility Providers regarding authorization requests for higher levels of care (Inpatient, Residential, and Partial Hospitalization) for mental health and substance abuse disorder services on behalf of our customers.

Employees in this role are expected to provide exceptional customer service, collaborating closely with inpatient Care Coordinators, Care Managers, facilities and individual providers to ensure proper access and utilization of benefits.
Must be available to work Mon-Fri 10:30am-7:00pm CST/EST
Training will occur from Monday - Friday from 8:00am - 4:30pm CST for approximately 6-8 weeks before moving to constant shift
Candidates must have reliable internet connection and a quiet work space with no distractions as position is 100% remote


RESPONSIBILITIES:

• Answer and process provider calls for Client Behavioral Health and HC ICMS

• Validate HIPAA, verify eligibility & benefits, provide referrals, and complete authorization and handoff processes.

• Utilize workflows to efficiently and accurately make nonclinical decisions and complete authorization and/or handoff process based on Fast Cert Authorization criteria

• Participate in implementing tasks related to increasing holistic approach to management of customer cases including meaningful engagement, aftercare follow-up planning and integration of services with matrix partners.

• Process electronic authorization requests

• Triage follow up requests for authorization and coordinate between the caller and Care Manager/Care Management Teams.

• Research complicated cases, i.e. eligibility, escalated cases, etc.

• Participate in assigned workgroups and opportunities for stretch assignments

• Attend and participate in team meetings.

• Strong interpersonal skills with capacity to project warmth and empathy

• Effective listening & organizational skills

• Detail oriented

• Experienced and skilled in working with multiple PC systems and applications, efficient in responding to requests while simultaneously maneuvering various computer screens among multiple systems while able to meet metrics and adhere to IEX scheduling requirements

• Proven customer service skills
• Strong keyboarding and computer skills.

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Bachelor’s degree required, with a preferred minimum of one year of related work experience in Behavioral